Employment Application

Snyder Associated Companies, Inc.
P.O. Box 1022
Kittanning, PA 16201
724.548.8101
Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap.Should I expect to receive a personal contact when I apply for a job?
Although we would like to contact each job seeker personally, we are unable to because of the high volume of resumes we receive. If your skills and work experiences match the requirements for our open positions, we will contact you to discuss the next step in the hiring process.What is the general interview/selection process?
A company representative will contact you if your experience and skills are a match for the open position. Once you are contacted, the company representative will schedule an interview with you, via phone or in person.

Date

Position(s) applying for

Name

Address

Email

Phone Number

Second Phone Number

If employed and you are under 18, can you furnish a work permit? yesno

State any additional information you feel may be helpful to us in considering your application.

Provide name, address and telephone number of three references who are not related to you and are not previous employers.
1.
2.
3.

Special employment notice to disabled veterans, vietnam era veterans, and individuals with physical or mental handicaps.

Government contractors are subject to Section 402 of the vietnam era veterans Readjustment Act of 1974 which requires that they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the vietnam Era, and Section 503 of the Rehabilitation Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals.

If you are a disabled veteran, or have a physical or mental handicap, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodation to enable you to perform the job in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect any consideration you may receive for employment.

Handicapped IndividualDisabled VeteranVietnam Era Veteran

If you wish to be identified, please sign below

EMPLOYMENT EXPERIENCE

Start with your most recent job. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, religion, sex or national origin.

1. Employer

Address

Supervisor

Job Title

Work Performed

Dates Employed to

Reason for leaving

2. Employer

Address

Supervisor

Job Title

Work Performed

Dates Employed to

Reason for leaving

3. Employer

Address

Supervisor

Job Title

Work Performed

Dates Employed to

Reason for leaving

4. Employer

Address

Supervisor

Job Title

Work Performed

Dates Employed to

Reason for leaving

Special Skills and Qualifications
Summarize special skills and qualifications acquired from employment or other experience including military service.

Applicant's Statement and Disclaimer

I hereby authorize the company, Snyder Associated Companies, Inc., (hereinafter “the Company”), to conduct an investigation concerning all statements contained in my application for employment, to interview all references, employers and schools and to conduct any other investigation that is deemed appropriate. I hereby release the Company and/or other individuals from any liability arising from the disclosure of any information pertaining to me which is obtained during said investigation. I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with the Company is of an “at will” nature, which means that the Employee may resign at any time and the Company may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the Company. I affirm that everything is true and correct on this application and I acknowledge that I can be terminated at any time if any information I supply is false. I affirm that I have a genuine intent and no other purpose in applying for a job with the company.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Electronic Signature Date Checking this box constitutes a legal signature confirming that I acknowledge and agree to the above disclaimer.